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CompletedNCT04585347Updated Oct 14, 2020

Single Dose Study of ALZ-801 Prototype Tablets

A Phase 1 interventional study of ALZ-801 170 mg Fasting and ALZ-801 205 mg Fasting in Alzheimer Disease, sponsored by Alzheon Inc.. Completed. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-10-14.

Sponsored by Alzheon Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Nov 2015, 10 years 11 months ago, and no results have been posted to the registry.
  • Registered 5 years after the study started (first participant enrolled Sep 2015, registered Oct 2020).
Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Phase 1, single-center, open-label, non-randomized, sequential single dose 4-period study in 12 healthy subjects to assess the pharmacokinetics of ALZ-801, tramiprosate and the primary metabolite of tramiprosate, NRM5074, from prototype drug product formulations of ALZ-801, and to assess effect of food on the bioavailability of ALZ-801 and tramiprosate of the prototype tablet formulation.

Read the detailed description

This is a single-center, open-label, non-randomized, sequential, single-dose, 4-period study in 12 healthy adult subjects. Subjects are to receive a single oral dose of ALZ-801 in each of the 4 study periods (Regimens A, B, C and D) in a non-randomized, sequential manner, separated by a minimum washout period of 7 days. The washout period is expected to last approximately 14 days to permit interim decisions to take place and to allow for the selection of the formulation of the subsequent regimen. Periods of interim analysis will take place following dosing with prototype formulations Regimens A, B, and C, during which the PK and safety data are reviewed to determine the dose to be administered in the subsequent treatment period. Interim decisions aim to identify a prototype ALZ-801 immediate release tablet formulation that provides a similar tramiprosate AUC and Cmax to that of historical values after administration of a 100 mg loose-filled tramiprosate capsule in the fasted state.

Optimization of the required tramiprosate exposure will be made by adjusting the dose of ALZ-801 in the prototype tablets using a formulation design space with a target dose range, per tablet, of 171 to 514 mg ALZ-801 (equivalent to 100 mg to 300 mg tramiprosate). Dose selection will be made after a complete review of all data collected from the previous dose group. For dose selection to occur, data is required to be available from a minimum of 8 evaluable subjects with complete safety assessments up to 24 h post-dose, and required safety and PK data (AEs, plasma concentrations of ALZ-801, tramiprosate and NRM5074, and Tmax, Cmax and AUC estimates for ALZ-801 and tramiprosate).

02

Conditions studied

  • Alzheimer Disease

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03

In context

Alzheimer Disease

3,965 studies on the registry are indexed under Alzheimer Disease; 926 are open to participants now.

This study's enrollment of 12 is below the median of 70 across 3,019 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Alzheon Inc. is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy males and females
  • Females must be of non-
  • (BMI) of 18.0 to 35.0 kg/m2

Exclusion criteria

Exclusion Criteria:

  • History of any drug or alcohol abuse in the past 2 years
  • Subjects known to have a of \<60 mL/min
  • Positive surface antigen (HBsAg), virus antibody (HCV Ab) or (HIV) results
  • History of cardiovascular, renal, hepatic, neurological, psychiatric, chronic respiratory or gastrointestinal disease as judged by the investigator
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Regimen A

    ALZ-801 171 mg tablet, fasting, once

    Drug: ALZ-801 170 mg Fasting

  • Experimental
    Regimen B

    ALZ-801 205 mg tablet, fasting, once

    Drug: ALZ-801 205 mg Fasting

  • Experimental
    Regimen C

    ALZ-801 205 mg tablet, after food once

    Drug: ALZ-801 205 mg After Food

  • Experimental
    Regimen D

    ALZ-801 342 mg (administered as 2 x 171 mg tablets of ALZ-801), after food, once

    Drug: ALZ-801 342 mg Fasting

06

What researchers measure

Primary outcomes

  1. Cmax for ALZ-801, tramiprosate, and NRM5074

    Maximum observed concentration

    Time frame: 72 hours after dosing

  2. Tmax for ALZ-801, tramiprosate, and NRM5074

    Time from dosing at which Cmax was apparent

    Time frame: 72 hours after dosing

  3. AUC for ALZ-801, tramiprosate, and NRM5074

    Area under the curve from time zero to the last measurable concentration

    Time frame: 72 hours after dosing

  4. T1/2 for ALZ-801, tramiprosate, and NRM5074

    The apparent elimination half-lifee

    Time frame: 72 hours after dosing

  5. Frel for ALZ-801 and tramiprosate

    Relative bioavailability of mean PK parameters (AUC\[0-inf\] and Cmax) for fasted compared to fed state for ALZ-801 and tramiprosate

    Time frame: 72 hours after dosing

  6. Frel (test to literature reference)

    Relative bioavailability of mean PK parameters (AUC\[0-inf\] and Cmax) for tramiprosate from ALZ-801 prototype tablet formulation compared to previous tramiprosate Phase 3 data

    Time frame: 72 hours after dosing

Secondary outcomes

  1. Number of participants with adverse events

    Incidence and nature of adverse events (AEs) and serious adverse events (SAEs). Assessments reported as AEs or SAEs include physical examination, clinical laboratory tests, and 12-lead electrocardiogram (ECG) findings

    Time frame: 72 hours

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Hey JA, Yu JY, Versavel M, Abushakra S, Kocis P, Power A, Kaplan PL, Amedio J, Tolar M. Clinical Pharmacokinetics and Safety of ALZ-801, a Novel Prodrug of Tramiprosate in Development for the Treatment of Alzheimer's Disease. Clin Pharmacokinet. 2018 Mar;57(3):315-333. doi: 10.1007/s40262-017-0608-3. PubMed 29063518 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2015 to primary completion in Nov 2015, 1 month.

Of 160 industry-sponsored phase 1 interventional studies under Alzheimer Disease, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 23. This study's 1 month is below that.

Counting every sponsor, half of 233 studies reached it within 18 months; a quarter within 7 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 9, 2020
First posted
Oct 14, 2020
StartActual
Sep 16, 2015
Primary completionActual
Nov 13, 2015
CompletionActual
Nov 13, 2015
Last update
Oct 14, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 14, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04585347
Lead sponsor
Alzheon Inc.
Collaborators
Quotient Clinical
Responsible party
Sponsor
First posted
Oct 14, 2020
Start date
Sep 16, 2015
Primary completion
Nov 13, 2015
Completion
Nov 13, 2015
Last update
Oct 14, 2020

Study contacts

Ann Church, PhD
study director · Quotient Clinical

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: ALZ-801

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